Effect of lifestyle intervention on the occurrence of metabolic syndrome and its components in the Finnish Diabetes Prevention Study

被引:148
作者
Ilanne-Parikka, Pirjo [1 ,2 ]
Eriksson, Johan G. [3 ,4 ]
Lindstrom, Jaana [3 ]
Peltonen, Markku [3 ]
Aunola, Sirkka [5 ]
Hamalainen, Helena [6 ]
Keinanen-Kiukaanniemi, Sirkka [7 ,8 ,9 ]
Laakso, Mauri [7 ,8 ,10 ]
Valle, Timo T. [3 ]
Lahtela, Jorma [11 ]
Uusitupa, Matti [12 ]
Tuomilehto, Jaakko [3 ,4 ]
机构
[1] Finnish Diabet Associat, Ctr Diabet, Tampere, Finland
[2] Pirkanmaa Hosp Dist, Dept Res Adm, Tampere, Finland
[3] Natl Publ Hlth Inst, Diabet Unit, Dept Hlth Promot & Chron Dis Prevent, Helsinki, Finland
[4] Univ Helsinki, Dept Publ Hlth, Helsinki, Finland
[5] Natl Inst Publ Hlth, Lab Populat Res, Dept Hlth & Funct Capac, Turku, Finland
[6] Social Insurance Inst, Res Dept, Turku, Finland
[7] Univ Oulu, Dept Publ Hlth Sci & Gen Practice, Oulu, Finland
[8] Oulu Deaconess Inst, Dept Sport Med, Oulu, Finland
[9] Oulu Hlth Ctr, Oulu, Finland
[10] Oulu Univ Hosp, Unit Gen Practice, Oulu, Finland
[11] Tampere Univ Hosp, Dept Internal Med, Tampere, Finland
[12] Univ Kuopio, Dept Publ Hlth & Clin Nutr, FIN-70211 Kuopio, Finland
关键词
D O I
10.2337/dc07-1117
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
OBJECTIVE - The aim of this secondary analysis of the Finnish Diabetes Prevention Study was to assess the effects of lifestyle intervention on metabolic syndrome and its components. RESEARCH DESIGN AND METHODS - A total of 522 middle-aged overweight men and women with impaired glucose tolerance were randomized into an individualized lifestyle intervention group or a standard care control group. National Cholesterol Education Program criteria were used for the definition of metabolic syndrome. RESULTS - At the end of the study, with a mean follow-up of 3.9 years, we found a significant reduction in the prevalence of metabolic syndrome in the intervention group compared with the control group (odds ratio [OR] 0.62 [95% CI 0.40-0.95]) and in the prevalence of abdominal obesity (0.48 [0.28-0.81]). CONCLUSIONS - The results suggest that lifestyle intervention may also reduce risk of cardiovascular disease in the long run.
引用
收藏
页码:805 / 807
页数:3
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